{"title":"Development and effects of a scenario-based labor nursing simulation education program using an artificial intelligence tutor: a quasi-experimental study.","authors":"Seo-A Park, Hye Young Kim","doi":"10.4069/whn.2025.06.18","DOIUrl":"10.4069/whn.2025.06.18","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted to determine the effects of a scenario-based labor nursing simulation education program using an artificial intelligence (AI) tutor on knowledge, critical thinking disposition, clinical performance abilities, and digital literacy.</p><p><strong>Methods: </strong>This quasi-experimental study employed a non-equivalent control group pre- and post-test design. Seventy-two fourth-year nursing students (38 experimental, 34 control) were recruited from a university in Gumi, Korea. The experimental group participated in a scenario-based simulation education program supported by an AI tutor, while the control group engaged in conventional high-fidelity simulation training. Both groups attended sessions once per week for 2 hours over five sessions. Data were collected from August to December 2023 and analyzed using descriptive statistics, homogeneity testing, and the independent t-test.</p><p><strong>Results: </strong>Simulation using an AI tutor resulted in significantly higher scores for the experimental group compared to the control group in nursing knowledge (t=7.03, p<.001), clinical performance (t=7.80, p=.020), and digital literacy (t=5.02, p<.001).</p><p><strong>Conclusion: </strong>The scenario-based labor nursing simulation program utilizing an AI tutor was effective in improving nursing students' delivery of knowledge, clinical performance, and digital literacy. Future research should focus on developing diverse and advanced simulation programs tailored to various areas of women's health nursing, to further enhance critical thinking and clinical judgment capabilities.</p>","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"31 2","pages":"143-154"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The impact of digital health technologies on women's health nursing: opportunities and challenges.","authors":"Ju-Hee Nho","doi":"10.4069/whn.2025.06.05","DOIUrl":"10.4069/whn.2025.06.05","url":null,"abstract":"","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"31 2","pages":"77-80"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rudena A Madayag, Matthew Andrei E Basilio, Dondon D Pamintuan, Maria Luisa D Galang, Jennifer Mae P Malonzo-Rocero, Rolando L Lopez, Jerry Ligawen, Isabelito A Nabong, Karen D Sembrano, Milagros C Si, Anita B Viray
{"title":"The impact of the LactApp m-Health tool on breastfeeding self-efficacy: a mixed methods study among Filipino mothers.","authors":"Rudena A Madayag, Matthew Andrei E Basilio, Dondon D Pamintuan, Maria Luisa D Galang, Jennifer Mae P Malonzo-Rocero, Rolando L Lopez, Jerry Ligawen, Isabelito A Nabong, Karen D Sembrano, Milagros C Si, Anita B Viray","doi":"10.4069/whn.2025.06.02","DOIUrl":"10.4069/whn.2025.06.02","url":null,"abstract":"<p><strong>Purpose: </strong>Breastfeeding self-efficacy is essential for successful breastfeeding, and mobile health applications offer a promising approach for increasing maternal confidence. This study investigated the impact of LactApp (LactApp Women's Health) on breastfeeding self-efficacy among Filipino mothers and explored their experiences and perceptions of the app as a support tool.</p><p><strong>Methods: </strong>A sequential explanatory mixed-methods design was utilized. The quantitative phase employed a single-group pre- and post-test design with 280 Filipino mothers who used LactApp for 3 months, measuring changes in breastfeeding self-efficacy. Because the data were not normally distributed, the Wilcoxon signed-rank test was conducted. The qualitative phase involved semi-structured interviews with 30 mothers, which were analyzed using thematic analysis. Integration of quantitative and qualitative findings was achieved through a joint display.</p><p><strong>Results: </strong>Quantitative analysis demonstrated a significant improvement in breastfeeding self-efficacy, with median scores increasing from 49 to 61 (Z=-3.20, p<0.001) and reduced score variability. The largest improvements occurred among mothers aged 21 to 30 years and multiparous women. Qualitative findings corroborated these results, with mothers describing increased confidence, improved breastfeeding techniques, and solutions to challenges such as low milk supply. However, some participants, particularly those with limited educational backgrounds, experienced difficulties, indicating ongoing challenges related to digital access and app usability.</p><p><strong>Conclusion: </strong>LactApp improved breastfeeding self-efficacy among Filipino mothers, especially those with prior breastfeeding experience. The culturally relevant content and user-friendly design supported maternal confidence. To expand reach and impact, future interventions should address barriers to app use, especially for digitally underserved groups, and explore integration with traditional breastfeeding support systems.</p>","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"31 2","pages":"130-142"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pregnant women's eHealth literacy and attitudes toward internet health information and their relationship to shared decision making: a cross-sectional study.","authors":"Minju Kim, Gungeong Lee","doi":"10.4069/whn.2025.06.19","DOIUrl":"10.4069/whn.2025.06.19","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated eHealth literacy and attitudes toward internet health information among pregnant women and analyzed the associations between these factors and shared decision-making related to pregnancy and birth.</p><p><strong>Methods: </strong>The participants were 130 pregnant women receiving care at an obstetrics and gynecology department of a tertiary general hospital in Seoul, Korea. Data on eHealth literacy, attitudes toward internet health information, and shared decision-making were collected via an online survey conducted in October 2024. The collected data were analyzed using frequency analysis, descriptive statistics, Pearson correlation coefficients, the independent t-test, one-way analysis of variance, and hierarchical multiple regression.</p><p><strong>Results: </strong>The mean age of participants was 31.73±2.86 years. Thirty percent of the participants were in early pregnancy, 37.7% in mid-pregnancy, and 32.3% in late pregnancy. The mean eHealth literacy score was 4.11±0.75, indicating a high level. The average score for attitudes toward internet health information was 4.10±0.73, reflecting positive attitudes. The mean score for shared decision-making was also high, at 4.17±0.73. Higher eHealth literacy and more positive attitudes toward internet health information were found to significantly influence shared decision-making (F=41.03, p<.001), explaining 46.3% of the variance.</p><p><strong>Conclusion: </strong>A high level of eHealth literacy and positive attitudes toward internet health information are important for promoting shared decision-making among pregnant women. Public institutions should offer educational programs that improve the ability to search for and utilize health information. In clinical settings, specialized counselors should be employed to provide personalized education and accurate information supporting informed maternal health decisions.</p>","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"31 2","pages":"155-164"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of digital healthcare in managing menstrual symptoms: a systematic review.","authors":"Mi Seon Seo, Bok-Nam Seo","doi":"10.4069/whn.2025.05.22","DOIUrl":"10.4069/whn.2025.05.22","url":null,"abstract":"<p><strong>Purpose: </strong>Pain and symptoms associated with dysmenorrhea and premenstrual syndrome (PMS) significantly impact the quality of life of women of reproductive age, potentially leading to various physical and psychological health problems that negatively influence daily activities. This systematic review aimed to evaluate the effectiveness of digital healthcare interventions in reducing health issues related to dysmenorrhea and PMS in women of reproductive age.</p><p><strong>Methods: </strong>We conducted a comprehensive systematic literature search of three databases (PubMed, Web of Science, and the Cochrane Library) up to August 2024 to identify randomized controlled trials evaluating digital health interventions for managing dysmenorrhea and PMS symptoms in reproductive-age women. Of the 750 articles initially identified, eight studies fulfilled the inclusion criteria. Two independent reviewers assessed the methodological quality of the included studies using the Cochrane Risk of Bias tool.</p><p><strong>Results: </strong>Eight studies were included, categorized as smartphone application-based interventions (n=5) and web-based programs (n=3). Digital healthcare interventions effectively reduced dysmenorrhea-related pain and positively impacted symptom management for both dysmenorrhea and PMS. PMS symptom severity was the most frequently measured outcome used to evaluate intervention effectiveness. These findings emphasize the potential of mobile and web-based platforms as accessible and effective tools for managing menstrual symptoms among women.</p><p><strong>Conclusion: </strong>This review highlights the importance of digital healthcare in reducing health issues related to menstrual symptom management. It also highlights the critical role of nursing in integrating digital healthcare solutions to support menstrual health management among reproductive-age women.</p>","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"31 2","pages":"108-118"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of digital health interventions in women with high-risk pregnancies: a systematic review.","authors":"Sehee Kim, Mihyeon Park, Sukhee Ahn","doi":"10.4069/whn.2024.12.06","DOIUrl":"10.4069/whn.2024.12.06","url":null,"abstract":"<p><strong>Purpose: </strong>This systematic review evaluated the effectiveness of digital health interventions (DHIs) using technology-based strategies for women with pregnancy complications.</p><p><strong>Methods: </strong>Six databases were searched: MEDLINE, Embase, Cochrane Library, CINAHL, ProQuest, and Web of Science. The main concepts of interest were (1) target population: women with high-risk pregnancies; (2) health condition: pregnancy complications; (3) interventions: DHIs operationalized via mobile applications, the internet, and text messages; and (4) study design: randomized controlled trials (RCTs). The literature search was performed up to August 31, 2024.</p><p><strong>Results: </strong>The seven RCTs included in this review were published between 2016 and 2022. These studies originated from three countries: the United Kingdom, Switzerland, and the United States, and involved a total of 5,550 women. Two studies focused on gestational hypertension, four addressed preterm labor, and one dealt with preeclampsia. The interventions were delivered through phone applications or web platforms. While the primary outcomes did not show significant differences between the intervention and control groups across all studies, DHIs demonstrated meaningful secondary outcomes, including reductions in anxiety and stress among high-risk pregnant women.</p><p><strong>Conclusion: </strong>This review highlights the potential of DHIs to play a vital role in managing high-risk pregnancies. They facilitate early detection and risk prediction of pregnancy complications. Furthermore, digital health tools can markedly reduce stress and anxiety among high-risk pregnant women by providing psychological support. Overall, DHIs present a comprehensive approach to managing physical risks and improving mental well-being in women with high-risk pregnancies.</p>","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":" ","pages":"94-107"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bridging gender health gaps through digital health interventions: integrating digital health literacy.","authors":"Seul Ki Choi","doi":"10.4069/whn.2025.04.04","DOIUrl":"10.4069/whn.2025.04.04","url":null,"abstract":"","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":" ","pages":"88-93"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Digital health interventions for oncofertility in female patients: a systematic review.","authors":"Juyoung Ha, Minji Kim, Hyojin Park","doi":"10.4069/whn.2025.06.13","DOIUrl":"10.4069/whn.2025.06.13","url":null,"abstract":"<p><strong>Purpose: </strong>The importance of fertility preservation during cancer treatment is increasingly emphasized, and the provision of oncofertility care has gained significant attention. This study aims to systematically collect and analyze research on digital interventions related to oncofertility for cancer patients and survivors.</p><p><strong>Methods: </strong>Following PRISMA 2020 guidelines, a systematic search for studies on digital interventions for oncofertility targeting cancer patients and survivors, published up to November 5, 2024, was conducted using PubMed, Embase, CINAHL, Cochrane Library, and RISS. The retrieved articles underwent screening based on their titles, abstracts, and full texts, and were subsequently selected according to predefined inclusion and exclusion criteria. The quality of the selected studies was assessed using the Risk of Bias 2.0 tool for randomized controlled trials and the Risk of Bias in Non-randomized Studies tool.</p><p><strong>Results: </strong>From 17,820 retrieved articles, five studies were ultimately selected. Of these, four targeted cancer patients, and one involved cancer survivors. The most common type of intervention was web-based. The studies assessed outcomes across domains including symptom management, emotional, and cognitive functioning, and usability. Significant effects were noted in the emotional domain for fertility-related stress and in the cognitive domain for knowledge.</p><p><strong>Conclusion: </strong>This review highlights the increasing use of digital health interventions in oncofertility care, with most being web-based. The findings suggest that such interventions may help improve emotional well-being and fertility-related knowledge. Further research is warranted to diversify digital modalities and to develop personalized, evidence-based approaches tailored to the needs of cancer patients.</p>","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"31 2","pages":"119-129"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"State of gender in digital health: where we are and what needs to happen to maximize benefits for all.","authors":"Patricia N Mechael","doi":"10.4069/whn.2025.06.25","DOIUrl":"10.4069/whn.2025.06.25","url":null,"abstract":"","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"31 2","pages":"81-87"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Women's Health Nursing's 30th anniversary: looking to the future.","authors":"Sukhee Ahn","doi":"10.4069/whn.2025.03.05.1","DOIUrl":"https://doi.org/10.4069/whn.2025.03.05.1","url":null,"abstract":"","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"31 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}